AIRCKABS Online Registration

PhilCCRS: Archdiocese of Capiz
Full Name

First NameMiddle NameLast NameSuffix
Age
Sex:
Status:
Address

Home Address

Home Address 2

CityState / Province

Postal / Zip Code
Contact Number
Email
example@example.com
Arch/Diocese
Prayer Community:
Name of Prayer Group/ Community
Head Servant/ Coordinator
Name of Head Servant/ Coordinator
Payment only via PALAWAN EXPRESS PERA PADALA: Mary Dominique A. Gaston 09567218964 or thru BPI bank account 001103-4259-01(Elna A. Gaston and John A. Bisnar)
Amount Paid
Registrartion Payment Amount in php
Payment:

Browse Files
Upload here the proof of payment Cancelof
Additional Payment for Tour Packages:
*coastal tour: PHP 130.00
*upland tour: PHP 100.00
*municipal tour: PHP 100.00
Sunday Tour:

Rows Tour

Yes

No
If yes, choose one:
Payment only via PALAWAN EXPRESS PERA PADALA: Mary Dominique A. Gaston 09567218964 or thru BPI bank account 001103-4259-01(Elna A. Gaston and John A. Bisnar)
Amount Paid
Registrartion Payment Amount in php
Payment:

Browse Files
Upload here the proof of payment Cancelof
Should be Empty: